| Entity Name: | NAPLES CONCIERGE CARDIOLOGY AND INTERNAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2021 (4 years ago) |
| Document Number: | L21000088001 |
| FEI/EIN Number | 86-2682449 |
| Address: | 625 NINTH STREET, NORTH, SUITE 104, NAPLES, FL, 34102 |
| Mail Address: | 625 NINTH STREET, NORTH, SUITE 104, NAPLES, FL, 34102, UN |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063086601 | 2021-05-18 | 2023-07-28 | 625 9TH ST N, SUITE 104, NAPLES, FL, 341028143, US | 625 9TH ST N, SUITE 104, NAPLES, FL, 341028143, US | |||||||||||||||||||
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| Phone | +1 239-963-9788 |
| Fax | 2399639771 |
Authorized person
| Name | DR. SAJAN RAO |
| Role | OWNER |
| Phone | 2399639788 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NAPLES CONCIERGE CARDIOLOGY AND INTERNAL MEDICINE, LLC 401(K) PLAN | 2023 | 862682449 | 2024-10-02 | NAPLES CONCIERGE CARDIOLOGY AND INTERNAL MEDICINE, LLC | 3 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-02 |
| Name of individual signing | ALLISON BRECHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2396259673 |
| Plan sponsor’s address | 625 NINTH STREET NORTH, SUITE 104, NAPLES, FL, 34102 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-28 |
| Name of individual signing | ALLISON BRECHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| RAO SAJAN MD | Agent | 625 Ninth St North Suite 104, Naples, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| RAO SAJAN | Manager | 625 Ninth St North Suite 104, Naples, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-27 | 625 Ninth St North Suite 104, Naples, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-27 |
| Florida Limited Liability | 2021-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
